9781405127486

Contributors

Preface

The Context of Community Health Care Nursing

(12)

The context of service provision

(2)

The context for primary care

(2)

The changing focus of primary care

(2)

The scope of primary care nursing practice within the context of a changing workforce

(3)

International influences on the health care agenda

(1)

Conclusion

(1)

References

(1)

Social Policy in Public Health and Primary Care

(13)

Introduction

(1)

The policy-making and implementation process

(3)

The evolution of the NHS

(2)

Health care under the Conservative Government 1979--1997

(2)

Labour Government health care policy

(4)

Conclusion

(1)

References

(2)

Primary Health Care in the Community

(15)

Introduction

(1)

Primary health care -- the concept

(3)

Primary health care and the NHS

(3)

Primary health care in the community -- key issues and initiatives

(5)

Looking to the future

(1)

References

(2)

Further reading

(1)

Communication, Skill and Health Care Delivery

(16)

Introduction

(1)

Interpersonal communication

(2)

Communication and skill

(2)

Communication skill: a conceptual framework

(5)

Conclusion

(1)

References

(6)

Community Development in Public Health and Primary Care

(13)

Introduction

(1)

The current context for community development practice

(2)

Defining community development

(3)

Making it work -- key issues in successful community development

(3)

The role of community health professionals

(1)

Conclusion

(1)

References

(3)

Health Needs Assessment, Risk Assessment and Public Health

(19)

Introduction and overview of chapter

(1)

Health -- a contested concept or a chimera?

(1)

Perspectives on health needs assessment

(10)

Health needs assessment -- the contribution of community nurses

(4)

Risk assessment

(1)

Conclusion

(1)

References

(2)

Research Perspectives Applied to Primary Health Care

(25)

Introduction

(1)

Priorities for nursing and health care research

(2)

The knowledge base for public health and primary health care practitioners

(1)

Reflective practice and research mindedness

(2)

The research process

(1)

Research examples

(10)

General research issues

105

(4)

Conclusion

109

(1)

References

110

(4)

Public Health Nursing -- Health Visiting

114

(14)

Introduction

114

(1)

The development of health visiting

114

(1)

Principles of health visiting

115

(1)

Modernising the role of the health visitor

116

(3)

Dilemmas for health visiting practice

119

(1)

A framework for health visiting practice

120

(1)

Examples of public health activities in health visiting practice which reflect the above model

121

(2)

Changing to a `family-centered public health' approach to practice

123

(1)

The way forward

124

(1)

Conclusion

125

(1)

References

126

(2)

General Practice Nursing

128

(18)

Introduction

128

(1)

Historical development

128

(1)

The developing role of the practice nurse

129

(1)

Impact of policy on general practice and practice nursing

129

(3)

The new GMS contract

132

(2)

First contact

134

(1)

Public health

134

(3)

Health needs assessment

137

(1)

Chronic disease management

138

(3)

Systems for accountability and responsibility

141

(2)

The future

143

(1)

References

144

(2)

Contemporary Issues in District Nursing

146

(14)

Introduction

146

(1)

Historical origins

146

(1)

The changing role of the district nurse

147

(2)

Health needs assessment and profiling

149

(2)

Clinical governance

151

(1)

Managing chronic disease through population management and a geographical perspective

152

(2)

Nurse consultants and community matrons

154

(1)

Specific responses for older people

154

(1)

GMS contract and nurses with specialist interests

155

(1)

Extended and supplementary prescribing

155

(1)

Continuing professional development and lifelong learning

156

(1)

Conclusion

157

(1)

References

158

(2)

Community Children's Nursing

160

(21)

Introduction

160

(1)

Quality

161

(3)

Monitoring and measuring quality and effectiveness

164

(12)

Appendix

176

(1)

References

176

(5)

School Nursing

181

(14)

Children as the future

181

(1)

Education high on agenda

181

(1)

Emphasis on public health for school health

182

(2)

The recent past and contemporary situation

184

(1)

Education and training

185

(1)

New future

186

(1)

The outworking of the public health nurse in school health

186

(1)

Search for health needs

187

(1)

Stimulation of awareness of health needs

187

(1)

Influence on policies affecting health

187

(1)

Facilitation of health enhancing activities

188

(1)

Leadership and organisation

189

(1)

Mental health -- a specific issue

190

(2)

The need for marketing

192

(1)

Conclusion

192

(1)

References

192

(3)

Occupational Health Nursing

195

(12)

Occupational health nurses as specialist practitioners

195

(1)

The effect of work on health

196

(1)

Historical perspective

197

(1)

Provision of occupational health services in the UK

197

(1)

The changing nature of UK workplaces

198

(1)

Changing work patterns

199

(1)

Workplace practices

199

(1)

The domains of occupational health nursing practice

200

(3)

Public health strategies

203

(1)

Specialist community public health nursing -- Part 3 of the register maintained by the Nursing and Midwifery Council

204

(1)

Appendix

204

(2)

References

206

(1)

Community Mental Health Nursing

207

(17)

Introduction

207

(1)

A guiding paradigm

207

(3)

The National Service Framework

210

(1)

The principles of community mental health nursing

210

(9)

Conclusion

219

(1)

References

220

(4)

Community Learning Disability Nursing

224

(13)

Introduction

224

(1)

People with learning disabilities

224

(2)

Changing service principles

226

(1)

The health of people with learning disabilities

227

(3)

The role of the community nurse for people with learning disabilities

230

(2)

The future role of community nursing services for people with learning disabilities

232

(2)

Conclusion

234

(1)

References

234

(3)

Assessment of Competence to Practise and New NMC Teaching Standards

237

(20)

Introduction

237

(1)

Entry to the register

237

(1)

Standards of education for specialist community public health programmes

238

(1)

Levels of attainment in academia

238

(1)

The development process of levels of attainment in practice

238

(2)

Knowledge in practice

240

(1)

Action in practice

241

(2)

A consideration of competence and proficiency in practice

243

(3)

Tools for assessment of proficiency in practice

246

(9)

Conclusion

255

(1)

References

255

(2)

Inter-professional Practice and Teamwork

257

(11)

Introduction

257

(1)

Potential team members in community services

257

(1)

The continuing need for effective teamwork

258

(1)

The nature of teams

259

(2)

When teamwork is not effective

261

(2)

When teams work well

263

(2)

Conclusion

265

(1)

References

266

(2)

Measuring the Effectiveness of Community Health Care Nursing

268

(13)

The measurement of effectiveness in the NHS

268

(1)

A model of evaluation in health care

269

(3)

NHS policy developments

272

(2)

Measuring effectiveness in public health and primary care -- established evidence

274

(1)

Effectiveness in public health and primary care -- emerging evidence

275

(1)

Ongoing issues for community nurses and specialist community public health nurses (health visitors)

276

(1)

Measuring health gain

277

(1)

Conclusion

278

(1)

References

278

(3)

Non-medical Prescribing

281

(14)

Medicines management and prescription, supply and administration of medicines

281

(1)

Non-medical prescribing in the current health care agenda

282

(1)

Non-medical prescribing in community nursing

282

(3)

Supply and administration of medicines

285

(1)

Prescribing in practice: achieving and maintaining competence

286

(1)

Education

286

(2)

Supervision in practice as part of education

288

(1)

Maintaining competence in practice and CPD

289

(1)

Professional and legal accountability

290

(2)

Conclusion

292

(1)

References

292

(3)

Public Health Nursing

295

(11)

Introduction

295

(1)

The context of public health work

295

(1)

The Modernisation Agenda

296

(3)

Specialist community public health nursing

299

(2)

New roles for specialist community public health nurses

301

(3)

Conclusion

304

(1)

References

304

(2)

Modernisation in the Primary Care Workforce

306

(11)

Introduction

306

(1)

The case for change

306

(2)

Modernising primary and community health care nursing

308

(1)

Ensuring a responsive workforce

308

(2)

Constraints and challenges to workforce redesign in primary and community nursing

310

(1)

The vision for redesign

310

(1)

Ensuring the `right' mix of skills

311

(1)

People at the centre of new approaches to care

312

(2)

A local framework for redesign in community nursing

314

(1)

New roles, new competencies

315

(1)

Conclusion

316

(1)

References

316

(1)

Index

317

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Community Health Care Nursing, 3rd Edition

1405127481

Summary

Author Biography

Table of Contents

Supplemental Materials

Rewards Program